Richard Simcox, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Oak Park, IL
NPI 1295874618 · NPPES record last updated Mar 6, 2008
Key facts
- NPI
- 1295874618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Practice address
- 1126 Westgate St
Oak Park, IL 60301-1008 - Phone
- (708) 383-8851
- Fax
- (708) 383-6272
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Kids Dental Center, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | IL | Yes |
Addresses
Primary practice location
1126 Westgate St
Oak Park, IL 60301-1008
Mailing address
1126 Westgate St
Oak Park, IL 60301-1008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K48428 | Other | IL | PTAN |
Other providers in Oak Park, IL
- Nyal Siddiqi
- Haviva Batsheva Siegel
- Signature Smiles Dental Care LTD
- Silver Soul
- Vanessa Garcia Silveyra
- Kelly Simkowski
- Debora Simmons
- Michael Anthony Simmons
- Jeanette Zwicky Simon
- Jonathan Philip Simon
All providers in Oak Park, IL · Oral and Maxillofacial Surgery (Dentist) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.